| |
6200 Wilshire Blvd Ste 1510 Los Angeles CA 90048-5801 | |
(323) 964-1440 | |
(323) 937-5283 |
Full Name | |
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Speciality | Family Medicine - Adult Medicine |
Location | 6200 Wilshire Blvd, Los Angeles, California |
Authorized Official Name and Position | Emmanuel R Lim (PRESIDENT/ MEDICAL DIRECTOR) |
Authorized Official Contact | 3239641440 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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6200 Wilshire Blvd Ste 1510 Los Angeles CA 90048-5801 Ph: (323) 964-1440 | 6200 Wilshire Blvd Ste 1510 Los Angeles CA 90048-5801 Ph: (323) 964-1440 |
NPI Number | 1982760500 |
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Provider Enumeration Date | 12/28/2006 |
Last Update Date | 08/08/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982760500 | NPI | - | NPPES |
GR0072070 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0505X | Family Medicine - Adult Medicine | A43525 (California) | Primary |
332B00000X | Durable Medical Equipment & Medical Supplies | 1262270001 (California) | Secondary |
Joseph I Kang Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3755 Beverly Blvd, Ste 301, Los Angeles, CA 90004 Phone: 323-664-7777 | |
John L Sherman Md Amc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8635 W 3rd St Ste 485w, Los Angeles, CA 90048 Phone: 310-855-8081 Fax: 310-855-0438 | |
Altamed Health Services Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5425 Pomona Blvd, Los Angeles, CA 90022 Phone: 323-832-7527 Fax: 323-832-7599 | |